ATI Leadership Proctored Exam
with NGN Questions and Verified Rationalized Answers,
100% Guarantee Pass Score
this test consisting of 70 multiple-choice ques with Ans
1. A nurse is caring for a client who is experiencing adverse effects after
receiving a new medication. Which of the following communication tools should the
nurse use for management of this complication?
A. Critical pathway
B. Incident reporting
C. SBAR framework
D. Root cause analysis
Answer: C. SBAR framework
The nurse should use the SBAR framework to identify the situation, background,
assessment, and recommendation for a specific circumstance. The nurse can focus on the
client's immediate circumstances to promote clinical decision making.
,2. A nurse at an urgent care clinic notices that a pain assessment is not being performed
for all clients as required by policy. Which of the following actions should the nurse
take?
A. Check client satisfaction surveys for feedback on this issue.
B. Post an article on pain assessment on the bulletin board.
C. Document this finding on an incident report.
D. Report this issue to the nurse manager.
Answer: D. Report this issue to the nurse manager.
The nurse should report this issue to the nurse manager because it is the manager's
responsibility to ensure that standards are met and that care is provided according to
policy.
3. A nurse is caring for a client who has a potassium level of 3.2 mEq/L. The nurse has
been paging the provider for 1 hr to attempt to report the potassium level. Which of the
following interventions should the nurse take next?
A. Continue to attempt to contact the provider.
B. Notify the nursing supervisor.
C. Administer an emergency dose of potassium.
D. Consult with the pharmacist.
Answer: B. Notify the nursing supervisor.
,This potassium level is critical and requires attention. The nurse should notify the nursing
supervisor that the provider has not responded to pages, and steps should be taken to
ensure the standard of care.
4. A nurse is teaching an assistive personnel (AP) about caring for a client who has a do-
not-resuscitate (DNR) order. Which of the following statements
,by the AP indicates an understanding of the teaching?
A. "If I cannot detect the client's pulse, I will have another AP verify this with me."
B. "If the client does not have a pulse, I will call for the rapid response team."
C. "I will initiate CPR until a nurse arrives if I cannot detect the client's pulse."
D. "I will call for the client's nurse to come to the room if I cannot detect the client's
pulse."
Answer: D. "I will call for the client's nurse to come to the room if I cannot detect the
client's pulse."
The AP should contact the nurse for further assessment whenever a client's condi- tion
does not meet expected findings. The client who has a DNR order in place does not require
resuscitation.
5. A nurse is caring for four clients. Which of the following tasks can the nurse assign to
an assistive personnel (AP)?
A. Perform chest compressions on a client who is in cardiac arrest.
B. Change a sterile dressing on a client's leg wound.
C. Check the residual of a client's gastrostomy tube.
D. Instruct the client on the use of a blood glucose machine.
Answer: A. Perform chest compressions on a client who is in cardiac arrest.
The nurse should assign an AP to perform chest compressions on a client who is in cardiac
,arrest. Performing basic CPR is within an AP's range of function.
6. A charge nurse is orienting a newly licensed nurse to the facility's policies regarding
electronic medical records. Which of the following statements by the newly licensed
nurse indicates an understanding of the instructions?
A. "There is a 24-hour delay for client data to update in the medical record."
B. "My access to client electronic records might be tracked by my nurse
manager."
C. "A client's medical record can only be accessed by one person at a time."
D. "I can look at every client's medical record on the unit."
Answer: B. "My access to client electronic records might be tracked by my nurse
manager."
The nurse should be aware that the nurse manager might track access to client records to
ensure client confidentiality.
7. A facility has identified an increase in health care-associated urinary tract infections
(UTIs) on the medical-surgical unit. A nurse is participating in a
,quality improvement process to address this problem. Which of the following
should be the first step in the process?
A. Determine the effectiveness of planned interventions.
B. Implement strategies to decrease the incidence of UTIs.
C. Develop a plan that outlines the process for data collection.
D. Establish best practice guidelines for reducing the incidence of UTIs.
Answer: D. Establish best practice guidelines for reducing the incidence of UTIs.
Evidence-based practice indicates the nurse should first establish best practice guidelines
for reducing the incidence of UTIs in order to have a standard to measure performance.
8. A nurse in a mental health facility is teaching a newly licensed nurse about the use of
mechanical restraints. Which of the following statements by the newly licensed nurse
indicates understanding of the teaching?
A. "I should use mechanical restraints when a client who is manic starts pacing."
B. "I should document every hour when a client is in mechanical restraints."
C. "I should request the provider to examine the client within 1 hour of applying
mechanical restraints."
D. "I should check the client every 30 minutes while in mechanical restraints."-
Answer: C. "I should request the provider to examine the client within 1 hour of applying
mechanical restraints."
,The provider should evaluate the client within 1 hr of initiation of the mechanical
restraint.
9. A nurse manager is reviewing the actions a staff nurse took when she observed
smoke coming from a wastebasket in a client's room. The nurse manager should verify
that the nurse acted appropriately when she performed which of the following actions
first?
A. Closed the door to the client's room
B. Initiated the fire alarm system
C. Transported the client to the hallway
D. Attempted to extinguish the fire
Answer: C. Transported the client to the hallway
The greatest risk to this client is injury from a fire; therefore, the first action the nurse
should take using the RACE protocol is to remove the client from the area of danger.
, 10. A charge nurse is managing conflict with a staff nurse who does not
agree with the client care assignment. Which of the following statements is an example
of using the conflict resolution strategy known as smoothing?
A. "Would you accept the assignment if we reassign your client who has total care
needs and assign another client who can provide more self-care?"
B. "Tell me what changes we need to make so that you'll feel comfortable with the
assignment."
C. "I didn't mean to make you feel overwhelmed. Why don't you look over the
assignments with me and suggest changes?"
D. "You always complete your work on time and do a great job. I believe you can handle
the assignment well."
Answer: D. "You always complete your work on time and do a great job. I believe you can
handle the assignment well."
The charge nurse is using smoothing as a conflict resolution strategy by complimenting or
focusing on shared ideas to reduce the emotional component of the conflict.
11. A charge nurse is discussing issues with a staff nurse. When evaluating statements
by the staff nurse, the charge nurse should recognize that which of the following
reflects an intrapersonal conflict?
A. "I'm not sure whether I want to apply for the unit manager's position or start a family
this year."
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